| NPI | 1164876322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE SMITH Medical Director 425-899-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA PH60004517) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |